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Individual

DONALD A CARROLL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
240 W. MAIN ST, MORTON, WA 98356
(360) 496-5140
(360) 496-6039
Mailing address
240 W. MAIN ST., MORTON, WA 98356
(360) 496-5140
(360) 496-6039

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00000957
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2020931
WA
Enumeration date
08/09/2005
Last updated
07/09/2007
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